Controlling Pain In Medical Abortion


Mar 10, 2012

I am an active female in my mid 30's and I just wasn't ready to have a baby yet.  My boyfriend and I decided together that the right choice was to terminate.  Psychologically and emotionally I felt content with this decision and mostly did not have feelings of regret or sadness.   I think everyone reacts differently so check in with yourself and talk it through with people you love to make sure you are making the right choice for you. 

Day 1: I made an appointment with PP and decided a medical abortion for my 7 week pregnancy seemed easier and more convenient, as i could do it on my day off, and it would not be so invasive.  I was warned about the mild to moderate contractions and complications arising from taking the second set of pills.  At the clinic I took the ru486 pill, 200 mg of mifepristone.  My pregnancy to this point was very difficult, I had severe nausea and lack of appetite and lost 6 lbs in the 3 weeks since implantation.  They checked my iron count and it was 13 which was normal and healthy to proceed with medical abortion.  After the mifepristone, i felt "funny", just off, like something was wrong.  I felt dizzy for the first few hours.

Day 2:  Exactly 25 hours after the mifepristone, i took 4 pills of misoprostol (880mg), the prostaglandin that would start the contractions.  I let the pills dissolve with some candy next to my cheeks.  The 800mg is double the amount recommended by the FDA but i was not aware of this until I did some fact-checking on PP.  They prescribe a higher amount due to some in absorption due to throwing up the pills, and to guarantee the medical dosage is high enough to prevent partial or incomplete miscarriage.  I did throw up 45 minutes after the pills went into my mouth, so I hoped I got the medicine I needed.   I tried taking analgesics but also threw those up soon after, so i had no choice but to endure the pain.

Pain:  Worst pain ever.  No joke, no exaggeration.  Awful, terrible, no quitting, terror.  I don't want to scare everyone here, but this was my experience.  Some women only experience mild cramping, mine was severe.  It vacillated from a 6 on the pain scale to an 8.5, never going down below a 4.  This was without a break, started 45 minutes after the pills and increased to a crescendo 2 hours in.  I couldn't walk or talk.  Just whimper and lay next to the toilet.  Taking turns throwing up, diarrhea, and just writhing in pain.  My boyfriend was at a loss of how to help me.  All I could think of is will this ever end?  Please just stop so I can breathe for 3 seconds!  I had no energy to cry, just try to curl up and hope this will go away.  I couldn't hold down the vicodin for longer than 15 minutes so I hardly got any relief from that.  I was not really bleeding at all either so all the cramping felt meaningless.

Relief:  Brilliant nurse of a boyfriend chopped up some oxycodone, about 3 mg for me to snort.  Yes snort up my nose with a straw.  I don't condone snorting any drugs for any reason, but if you can't hold down any pain killers in your stomach, you can inject them in a hospital, but  i did not have this option.  I couldn't even lift my head up enough to look at it, but he insisted that it should help, if nothing else could.  Finally i breathed it in and in SECONDS ALL PAIN WAS GONE!!!  I got up, smiled and watched movies the rest of the night while the pregnancy passed painlessly in my pad a few hours later.  I was instantly able to hold down food and took Vicodin 1 hour after the oxy to continue with pain relief.  My pain went from a 9 to a 0 in seconds. 

I don't know how anyone could have handled that level of cramps and pain for 6 hours without relief.  They should warm you at PP how to deal with pain if you can't hold down meds.  I would hate for any other woman to go through this ordeal without this information.  Thank god i have a nurse boyfriend who knows oxy can be snorted.  (Vicodin and other pain meds CANNOT be snorted)  It is not ideal to snort tylenol with the oxy but that's how it comes, so be careful.  Drink lots of water.  Watch your body, do not overdose with oxy!  3 mg was enough for me, the oxy comes in 5, 10, up to 40 mg pills so know the dosage.

Please do not give your opinions here on drug use and abuse.  This isn't drug abuse, its acute pain management in a dire situation and we do what we must.  I do not condone oxycodone use for anything other than pain management, generally only severe. 

Hope this info helps some woman out there. 

My medical abortion was successful with very light bleeding the 3rd and 4th days like a light period.  I would be hesitant to do it again.  That was pretty hardcore pain and cramping.  Not mild-moderate like they said.  I am having an IUC installed in a week to make sure I never have to go through this again.

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